Dear behrcarol, Thanks for sharing your photo! Any belt-like compression such as a waist band or bra support will constrict the tissues under it and bulge the tissues adjacent to it. Such is the "muffin top" over the waist or the bra. Without the compressive band, the tissues will droop creating a fold. In your case, removing the fat will leave you with a skin and fat fold. Your best option is to remove the fold using a tummy tuck option. This includes the panniculectomy (removal of skin excess) and if you wish, the fascial repair (corset tightening of the muscle tissues underneath). Skin tightening procedures such as laser or Thermi-RF are at this time too limited to stimulate tightening to the level of skin reduction you would need. CoolSculpting will reduce but not remove the bulge nor tighten the skin excess. Please consult with a Board Certified Plastic Surgeon for a in-person examination to evaluate your desires and expectations. I hope this helped. All the best!